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Runaway and Homeless Youth (RHY) Monitoring Site Visit 360 Feedback Forms
Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0970-0401
IC ID: 244468
OMB.report
HHS/ACF
OMB 0970-0401
ICR 202007-0970-006
IC 244468
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:
2024-09-25 - No material or nonsubstantive change to a currently approved collection
2024-09-13 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
360 Feedback Form AS COMPLETED BY PM ON FPO AND GRANTEE 11-9-2020 V2.docx
Other-360 Feedback Form: Peer Monito
360 Feedback Form AS COMPLETED BY GRANTEE ON REVIEW TEAM 11-9-2020 V2.docx
Other-360 Feedback Form: Grantee
Fast Track Generic Submission From 360 Feedback 11-9-2020 V2.docx
Fast Track Generic Form_RHY 360 Feedback Forms
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Runaway and Homeless Youth (RHY) Monitoring Site Visit 360 Feedback Forms
Agency IC Tracking Number:
FYSB
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-360 Feedback Form: Peer Monitor
360 Feedback Form AS COMPLETED BY PM ON FPO AND GRANTEE 11-9-2020 V2.docx
Yes
Yes
Fillable Fileable
Other-360 Feedback Form: Grantee
360 Feedback Form AS COMPLETED BY GRANTEE ON REVIEW TEAM 11-9-2020 V2.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Community and Social Services
Subfunction:
Social Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
171
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
171
0
171
0
0
0
Annual IC Time Burden (Hours)
29
0
29
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast Track Generic Form_RHY 360 Feedback Forms
Fast Track Generic Submission From 360 Feedback 11-9-2020 V2.docx
11/12/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.